Compliance Manager (Healthcare)

Welcome to Aetna, a leading healthcare company dedicated to providing high-quality and accessible care to individuals and families across the country. We are seeking a highly experienced Compliance Manager to join our team and ensure our organization adheres to all relevant laws, regulations, and policies. As a Compliance Manager, you will play a crucial role in promoting ethical and responsible practices within our organization. We are looking for a detail-oriented individual with a deep understanding of healthcare compliance and a passion for upholding the highest standards of integrity. If you are a driven and skilled professional with a strong sense of responsibility, we encourage you to apply for this exciting opportunity with Aetna.

1. Develop and implement compliance policies and procedures to ensure adherence to all relevant laws, regulations, and policies.
2. Conduct thorough audits and reviews of company processes and practices to identify and address potential compliance issues.
3. Collaborate with various departments within the organization to ensure compliance measures are integrated into daily operations.
4. Communicate and train employees on compliance policies and procedures to promote a culture of ethical and responsible practices.
5. Stay up-to-date on changes in healthcare laws and regulations and ensure the organization is in compliance with these changes.
6. Investigate any reported compliance violations and take appropriate corrective actions.
7. Maintain accurate and organized records of all compliance-related activities.
8. Prepare and submit compliance reports to regulatory agencies and senior management.
9. Act as a liaison between the organization and regulatory agencies during audits and inspections.
10. Develop and maintain relationships with external compliance professionals and stay informed about industry best practices.
11. Conduct risk assessments and develop risk mitigation strategies to prevent potential compliance issues.
12. Identify areas for improvement and make recommendations for process enhancements to ensure ongoing compliance.
13. Collaborate with the legal team to ensure compliance with legal requirements and mitigate potential legal risks.
14. Serve as a subject matter expert on compliance-related matters and provide guidance and support to employees at all levels.
15. Uphold the highest standards of integrity and ethical behavior in all aspects of the job.

According to JobzMall, the average salary range for a Compliance Manager (Healthcare) in Philadelphia, PA, USA is $82,000 to $125,000 per year. This range may vary depending on factors such as experience, education, and specific job responsibilities.

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.